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EDWARD KOWALCZYK
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1760534937
Individual Registrant: EDWARD KOWALCZYK
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
40 E MINARETS AVE PINEDALE, CA 93650-1239 US
Tel: 559-436-0482 Fax: --
Tel: 559-436-0482 Fax: --
Contact information for business:
1246 W MAGILL AVE FRESNO, CA 93711-1427 US
Tel: 559-447-9546 Fax: --
Tel: 559-447-9546 Fax: --
Registration Information:
NPI: 1760534937
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFC23477 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
